I Spent Those Years In the Operating Room Fighting Monsters

Chapter 133: It is more difficult than imagined!

   Everyone's skin can't stand close inspection, and every beauty's body can't stand medical analysis.

   As a doctor, Lu Cheng quickly suppressed this discomfort.

   It looks like it's only three o'clock and close to four o'clock, but everyone hasn't had time to have lunch, so considering that Cao Xiaohe and Lucheng are boys, they finally ordered four dishes and one soup.

   The portion size is not too much and the dishes are eaten cleanly by Lu Cheng and Cao Xiaohe. When they are ready to pay the bill, Lu Cheng is going to say that he will invite it.

   was pressed into the seat by Cao Xiaohe, and then said: "Xiao Lu, don't mix things up, let her pay for this meal, and don't rob her."

   Lu Cheng feels that Cao Xiaohe’s words are not fluent. Seeing how Cao Xiaohe feels at ease, it is not too good and too hypocritical, and there will be a lot of time to get along with each other in the future.

   It's just that Cao Xiaohe has only been here for the second few months, so how come he has learned his current temperament?

   If you have to pay for the meal, is it because this world has become ignorant of you?

After a few people ate, they rushed to the central operating room in the surgical building. There are many operating rooms in the central operating room, and it is a relatively advanced laminar flow operating room. The level of sterility inside is not comparable to that of an emergency operating room. .

   For large-scale operations, you can always find a suitable operating room here.

I called and asked that the operation was temporarily placed in room 34. When Lu Cheng arrived, Li Dongshan, Yu Youlin, and Zou Qian had already started the operation. At a glance, the three of them should be dividing blood vessels and blood vessels. nerve.

   Li Dongshan kept asking, "Does this patient really want to save his limbs? It would be wise to have his limbs amputated directly in this situation? Isn't this possible that the limb salvage can be successful?"

Zou Qian hurriedly replied: "I have said it, and I have said it many times. Originally, my family members had to amputate their limbs because they didn't have money. When it was critical, they had money again. I had prepared 200,000 yuan in the early stage. Just one request, limb salvage and life-saving. After the limb salvage, the specific function can only be determined by God’s will."

   "It has been signed, and the power of attorney has been handprinted." Zou Qian described his procedures.

   Before the patient went into a coma, the emergency department had asked the patient to press the fingerprint and signed the power of attorney. At that time, the patient was still conscious and he authorized his wife to make all decisions on his behalf.

   Then the wife's signature effect is completely legal, otherwise the patient will come in a coma. Even if the patient's wife signs it without a power of attorney, or the patient himself does not know this, then he has to ask the hospital's general duty.

   The operation can only be performed under the witness of the head on duty.

   This rule and process cannot be wrong, it is also for self-protection.

   "Oh, that's okay, call the vascular surgery general hospital, and call her to come and take a look. I guess I will call the superior of the vascular surgery to come on stage in the end."

   "In another tour, you go to see if the microsurgery equipment is available, we need to use it here. If you have time, move it over. If you don't have time, then use a portable magnifying glass." Li Dongshan repeatedly ordered.

   Cao Xiao and Wen Yan immediately called.

The tour said: “Professor Li, I’ve asked it a long time ago. Now the first ward of the orthopedics department is still doing tendon and nerve transposition surgery, and a pedicle flap transplantation is required. Went in the early morning, the micro-suturing machine is out of reach."

   "There are a few sets of head-mounted magnifiers, but not many. The orthopedics department has also been divided into a ward. How many sets have been taken. You see?" The tour said cautiously.

   I can’t blame her, this kind of equipment, trauma surgery has already divided every day, unless it is weekends, there may be free time, others have already arranged it, how can it be transferred to other departments and emergency surgery?

   Li Dongshan could only helplessly say: "Okay, how many sets are there."

Then Li Dongshan was about to call someone to come to the stage for help. He saw that, except for Cao Xiaohe who called, Lu Cheng and Fang Nixin had already washed their hands and put on their clothes. .

   said: "On the tour, bring another set of debridement packs, open a pack of silk thread, a set of round knives, a set of sharp blades, and then two syringes of 5-20 ml each, all with needles."

   "This patient's situation is more complicated than imagined. We have to do it separately and buy time."

   After hearing this, Yu Youlin immediately said: "Professor Li, then I will start the dissection from the popliteal area?"

Li Dongshan said: "No, you continue to the position of the popliteal artery from the opening I am making now. The blood vessels and nerves below are more complicated. I will do it. After you finish, you can almost eat. Then we will give it to the blood vessels. The surgeon comes to pass the blood vessels."

   "Zou Qian, you told the patient that once all the blood clots cannot be removed, is it still possible for the limb to be amputated in the end?"

"I have talked about it, I have already talked about it. The patient's family is still very determined. He has a younger brother who is not bad for money." Zou Qian said bitterly, because this patient had to do limb salvage, which made Li Dongshan's mentality. It's not very good, so he asked this kind of low-level question too many times in a row.

   But it is true that there are too many levels to go through in this patient's situation.

   First, there are blood clots and ruptures in the blood vessels. Even if UU reading www.uukanshu.com can be sutured, can he bear the reperfusion injury?

   Second, the unilateral lower extremity muscles are severely squeezed. The complication of the squeeze syndrome is rhabdomyolysis. At that time, whether necrosis is a problem, and whether dialysis can survive is another.

   Open fracture is a barrier, skin defect is a barrier, and whether there is nerve damage is another barrier.

   Even if these are all good, the feeling is not contagious, can the postoperative nutrition keep up with it, can the patient with traumatic hyperthermia be able to fight it?

   Severe dehydration and electrolyte imbalance will kill him? After living in the ICU for several days, can this cost be affordable?

too difficult.

   Finally, Lu Cheng and Fang Nixin soon came on stage.

  Cao Xiaohe also finished the phone call and said, "Professor Li, the general inpatient of vascular surgery has spoken. She said that Professor Zu from their department will come in person. She is still on stage now."

Li Dongshan didn’t look up, just said: “Professor Zu can come, and the patient’s blood vessels will be able to survive by at least 50%. He is lucky, and in many disasters, we can provide the best medical skills, and we will provide the best. Help."

   "Contact Professor Zhou Xuanqing of orthopedics, and ask him if he is on the stage, would he be willing to help suture the tendons and nerves. Such a serious injury, I am afraid that only he can make the survival rate of the tendons and nerves the highest."

   "Okay. I'll fight." Cao Xiaohe was taken aback after hearing this, and said immediately.

After listening to this, Yu Youlin also looked at Li Dongshan many eyes, and said in his heart that Li Dongshan has encountered so many things and so many difficulties for so many years, and he has never bowed his head to the orthopedics person. Orthopedics came to ask for support?

   Why are you still calling Professor Zhou Xuanqing to come on stage, what's the situation?

   Ask for a recommendation ticket!

Tap the screen to use advanced tools Tip: You can use left and right keyboard keys to browse between chapters.

You'll Also Like